Organization
CHESAPEAKE UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD JAY SIEGEL MD (PRESIDENT)
(410) 581-1600
Entity
Organization
Contact information
Practice address
6820 HOSPITAL DR STE 210, BALTIMORE, MD 21237-4360
(410) 391-6131
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 738-2872
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276600124
—
MD
Enumeration date
11/18/2024
Last updated
03/08/2025
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